Self-management effective for people with hypertension

Woman taking her blood pressure

A recent trial in people with hypertension found that self-monitoring of blood pressure (BP) together with self-titration of antihypertensive medication resulted in better BP control compared with standard care.

This strategy has now been tested in high-risk patients, who have the most to gain from optimised BP control. Richard McManus from the University of Oxford and his team undertook TASMIN-SR, a randomised trial involving 552 patients with hypertension and at least one other high-risk condition, published in JAMA (online, 27 August 2014)[1]
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After 12 months, BP had fallen significantly in patients who self-managed according to a prespecified algorithm, without an increase in adverse events.

“Patients at high risk of cardiovascular disease whose BP is not optimally controlled could be considered for self-management,” the researchers conclude.

References

[1] McManus RJ et al. Effect of Self-monitoring and Medication Self-titration on Systolic Blood Pressure in Hypertensive Patients at High Risk of Cardiovascular Disease: The TASMIN-SR Randomized Clinical Trial. JAMA 2014;312(8): 799–808. 

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Citation
The Pharmaceutical Journal, PJ, 13 September 2014, Vol 293, No 7827;293(7827):DOI:10.1211/PJ.2014.20066305